Random thoughts from a few cantankerous American physicians. All contributors are board certified. Various specialties are represented here. I do not know where this will lead but hope it will at least be an enjoyable read. All of the names mentioned in this blog are pseudonyms, the ages have been changed, and in half the cases the gender as well. All photographs are published with patient consent or are digitally altered to preserve anonymity. Trust us, we're doctors.

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Saturday, May 20, 2006

One of the red flags for anti social behavior including murder, mayhem, basically anything bad you can think of is animal abuse. Also, a history of sexual abuse is a red flag. I think I just met Lucifer.

Brought to me by the local police tonight was a young man who has been bounced around from family to foster care. Recently he threatened to kill his current caregivers. Also, he was caught in the act of beastiality and no further details are necessary.

He had the eerily calm demeanor of someone who had absolutely nothing wrong with them and had absolutely no shame. I put him on a mental health hold and sent him for inpatient psychiatric evaluation. The kid did not even have the decency to be a drug addict or boozer... at least then one might rationalize the behavior as substance abuse related. Very scary. Very evil. Unfortunately for us, he will probably not be held very long as he is definitely not psychotic or schizophrenic. Scary.